|
NAIL GAMMA 11.0 X 180MM X 125 DEG TROCHANTERIC TI 3125-1180S
|
Facility
|
OP
|
$7,456.00
|
|
|
Service Code
|
HCPCS L8699
|
| Hospital Charge Code |
3785549
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$2,171.19 |
| Max. Negotiated Rate |
$7,133.90 |
| Rate for Payer: Aetna Commercial |
$6,978.82
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$6,668.65
|
| Rate for Payer: Aetna Managed Medicare |
$2,171.19
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$5,040.26
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$3,877.12
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$3,722.04
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$4,109.75
|
| Rate for Payer: Cash Price |
$2,236.80
|
| Rate for Payer: Cigna Commercial |
$7,133.90
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$4,339.39
|
| Rate for Payer: Health EOS Commercial |
$6,901.27
|
| Rate for Payer: HFN Commercial |
$7,133.90
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$5,815.68
|
| Rate for Payer: Multiplan Commercial |
$6,203.39
|
| Rate for Payer: NAPHCARE Commercial |
$4,652.54
|
| Rate for Payer: Preferred Network Access Commercial |
$7,133.90
|
| Rate for Payer: Quartz Beloit One Network |
$3,799.58
|
| Rate for Payer: Quartz Commercial |
$5,040.26
|
| Rate for Payer: Quartz Medicare Advantage |
$4,652.54
|
| Rate for Payer: The Alliance Commercial |
$3,877.12
|
| Rate for Payer: WEA Trust Commercial |
$4,264.83
|
| Rate for Payer: WPS Commercial |
$5,743.36
|
|
|
NAIL GAMMA 11.0 X 180MM X 125 DEG TROCHANTERIC TI 3125-1180S
|
Facility
|
IP
|
$7,456.00
|
|
|
Service Code
|
HCPCS L8699
|
| Hospital Charge Code |
3785549
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$3,799.58 |
| Max. Negotiated Rate |
$7,133.90 |
| Rate for Payer: Aetna Commercial |
$6,978.82
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$6,668.65
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$4,109.75
|
| Rate for Payer: Cash Price |
$2,236.80
|
| Rate for Payer: Cigna Commercial |
$7,133.90
|
| Rate for Payer: Health EOS Commercial |
$6,901.27
|
| Rate for Payer: HFN Commercial |
$7,133.90
|
| Rate for Payer: Multiplan Commercial |
$6,203.39
|
| Rate for Payer: Preferred Network Access Commercial |
$7,133.90
|
| Rate for Payer: Quartz Beloit One Network |
$3,799.58
|
| Rate for Payer: Quartz Commercial |
$4,652.54
|
| Rate for Payer: WEA Trust Commercial |
$4,264.83
|
| Rate for Payer: WPS Commercial |
$5,743.36
|
|
|
NAIL GAMMA 11.0 X 180MM X 130DEG TROCHANTERIC TI 3130-1180S
|
Facility
|
OP
|
$12,489.00
|
|
|
Service Code
|
HCPCS L8699
|
| Hospital Charge Code |
5456919
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$3,636.80 |
| Max. Negotiated Rate |
$11,949.48 |
| Rate for Payer: Aetna Commercial |
$11,689.70
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$11,170.16
|
| Rate for Payer: Aetna Managed Medicare |
$3,636.80
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$8,442.56
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$6,494.28
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$6,234.51
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$6,883.94
|
| Rate for Payer: Cash Price |
$3,746.70
|
| Rate for Payer: Cigna Commercial |
$11,949.48
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$7,268.60
|
| Rate for Payer: Health EOS Commercial |
$11,559.82
|
| Rate for Payer: HFN Commercial |
$11,949.48
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$9,741.42
|
| Rate for Payer: Multiplan Commercial |
$10,390.85
|
| Rate for Payer: NAPHCARE Commercial |
$7,793.14
|
| Rate for Payer: Preferred Network Access Commercial |
$11,949.48
|
| Rate for Payer: Quartz Beloit One Network |
$6,364.39
|
| Rate for Payer: Quartz Commercial |
$8,442.56
|
| Rate for Payer: Quartz Medicare Advantage |
$7,793.14
|
| Rate for Payer: The Alliance Commercial |
$6,494.28
|
| Rate for Payer: WEA Trust Commercial |
$7,143.71
|
| Rate for Payer: WPS Commercial |
$9,620.28
|
|
|
NAIL GAMMA 11.0 X 180MM X 130DEG TROCHANTERIC TI 3130-1180S
|
Facility
|
IP
|
$12,489.00
|
|
|
Service Code
|
HCPCS L8699
|
| Hospital Charge Code |
5456919
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$6,364.39 |
| Max. Negotiated Rate |
$11,949.48 |
| Rate for Payer: Aetna Commercial |
$11,689.70
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$11,170.16
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$6,883.94
|
| Rate for Payer: Cash Price |
$3,746.70
|
| Rate for Payer: Cigna Commercial |
$11,949.48
|
| Rate for Payer: Health EOS Commercial |
$11,559.82
|
| Rate for Payer: HFN Commercial |
$11,949.48
|
| Rate for Payer: Multiplan Commercial |
$10,390.85
|
| Rate for Payer: Preferred Network Access Commercial |
$11,949.48
|
| Rate for Payer: Quartz Beloit One Network |
$6,364.39
|
| Rate for Payer: Quartz Commercial |
$7,793.14
|
| Rate for Payer: WEA Trust Commercial |
$7,143.71
|
| Rate for Payer: WPS Commercial |
$9,620.28
|
|
|
NAIL GAMMA 11.0 X 320 X 125DEG LONG RT TI 3525-1320S
|
Facility
|
OP
|
$9,643.00
|
|
|
Service Code
|
HCPCS L8699
|
| Hospital Charge Code |
4509048
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$2,808.04 |
| Max. Negotiated Rate |
$9,226.42 |
| Rate for Payer: Aetna Commercial |
$9,025.85
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$8,624.70
|
| Rate for Payer: Aetna Managed Medicare |
$2,808.04
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$6,518.67
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$5,014.36
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$4,813.79
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$5,315.22
|
| Rate for Payer: Cash Price |
$2,892.90
|
| Rate for Payer: Cigna Commercial |
$9,226.42
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$5,612.23
|
| Rate for Payer: Health EOS Commercial |
$8,925.56
|
| Rate for Payer: HFN Commercial |
$9,226.42
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$7,521.54
|
| Rate for Payer: Multiplan Commercial |
$8,022.98
|
| Rate for Payer: NAPHCARE Commercial |
$6,017.23
|
| Rate for Payer: Preferred Network Access Commercial |
$9,226.42
|
| Rate for Payer: Quartz Beloit One Network |
$4,914.07
|
| Rate for Payer: Quartz Commercial |
$6,518.67
|
| Rate for Payer: Quartz Medicare Advantage |
$6,017.23
|
| Rate for Payer: The Alliance Commercial |
$5,014.36
|
| Rate for Payer: WEA Trust Commercial |
$5,515.80
|
| Rate for Payer: WPS Commercial |
$7,428.00
|
|
|
NAIL GAMMA 11.0 X 320 X 125DEG LONG RT TI 3525-1320S
|
Facility
|
IP
|
$9,643.00
|
|
|
Service Code
|
HCPCS L8699
|
| Hospital Charge Code |
4509048
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$4,914.07 |
| Max. Negotiated Rate |
$9,226.42 |
| Rate for Payer: Aetna Commercial |
$9,025.85
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$8,624.70
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$5,315.22
|
| Rate for Payer: Cash Price |
$2,892.90
|
| Rate for Payer: Cigna Commercial |
$9,226.42
|
| Rate for Payer: Health EOS Commercial |
$8,925.56
|
| Rate for Payer: HFN Commercial |
$9,226.42
|
| Rate for Payer: Multiplan Commercial |
$8,022.98
|
| Rate for Payer: Preferred Network Access Commercial |
$9,226.42
|
| Rate for Payer: Quartz Beloit One Network |
$4,914.07
|
| Rate for Payer: Quartz Commercial |
$6,017.23
|
| Rate for Payer: WEA Trust Commercial |
$5,515.80
|
| Rate for Payer: WPS Commercial |
$7,428.00
|
|
|
NAIL GAMMA 11.0 X 340 X 125DEG LONG RT TI 3525-1340S
|
Facility
|
IP
|
$9,643.00
|
|
|
Service Code
|
HCPCS L8699
|
| Hospital Charge Code |
4509049
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$4,914.07 |
| Max. Negotiated Rate |
$9,226.42 |
| Rate for Payer: Aetna Commercial |
$9,025.85
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$8,624.70
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$5,315.22
|
| Rate for Payer: Cash Price |
$2,892.90
|
| Rate for Payer: Cigna Commercial |
$9,226.42
|
| Rate for Payer: Health EOS Commercial |
$8,925.56
|
| Rate for Payer: HFN Commercial |
$9,226.42
|
| Rate for Payer: Multiplan Commercial |
$8,022.98
|
| Rate for Payer: Preferred Network Access Commercial |
$9,226.42
|
| Rate for Payer: Quartz Beloit One Network |
$4,914.07
|
| Rate for Payer: Quartz Commercial |
$6,017.23
|
| Rate for Payer: WEA Trust Commercial |
$5,515.80
|
| Rate for Payer: WPS Commercial |
$7,428.00
|
|
|
NAIL GAMMA 11.0 X 340 X 125DEG LONG RT TI 3525-1340S
|
Facility
|
OP
|
$9,643.00
|
|
|
Service Code
|
HCPCS L8699
|
| Hospital Charge Code |
4509049
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$2,808.04 |
| Max. Negotiated Rate |
$9,226.42 |
| Rate for Payer: Aetna Commercial |
$9,025.85
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$8,624.70
|
| Rate for Payer: Aetna Managed Medicare |
$2,808.04
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$6,518.67
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$5,014.36
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$4,813.79
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$5,315.22
|
| Rate for Payer: Cash Price |
$2,892.90
|
| Rate for Payer: Cigna Commercial |
$9,226.42
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$5,612.23
|
| Rate for Payer: Health EOS Commercial |
$8,925.56
|
| Rate for Payer: HFN Commercial |
$9,226.42
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$7,521.54
|
| Rate for Payer: Multiplan Commercial |
$8,022.98
|
| Rate for Payer: NAPHCARE Commercial |
$6,017.23
|
| Rate for Payer: Preferred Network Access Commercial |
$9,226.42
|
| Rate for Payer: Quartz Beloit One Network |
$4,914.07
|
| Rate for Payer: Quartz Commercial |
$6,518.67
|
| Rate for Payer: Quartz Medicare Advantage |
$6,017.23
|
| Rate for Payer: The Alliance Commercial |
$5,014.36
|
| Rate for Payer: WEA Trust Commercial |
$5,515.80
|
| Rate for Payer: WPS Commercial |
$7,428.00
|
|
|
NAIL GAMMA 11.0 X 360 X 125DEG LONG RT TI 3525-1360S
|
Facility
|
IP
|
$9,643.00
|
|
|
Service Code
|
HCPCS L8699
|
| Hospital Charge Code |
4509050
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$4,914.07 |
| Max. Negotiated Rate |
$9,226.42 |
| Rate for Payer: Aetna Commercial |
$9,025.85
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$8,624.70
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$5,315.22
|
| Rate for Payer: Cash Price |
$2,892.90
|
| Rate for Payer: Cigna Commercial |
$9,226.42
|
| Rate for Payer: Health EOS Commercial |
$8,925.56
|
| Rate for Payer: HFN Commercial |
$9,226.42
|
| Rate for Payer: Multiplan Commercial |
$8,022.98
|
| Rate for Payer: Preferred Network Access Commercial |
$9,226.42
|
| Rate for Payer: Quartz Beloit One Network |
$4,914.07
|
| Rate for Payer: Quartz Commercial |
$6,017.23
|
| Rate for Payer: WEA Trust Commercial |
$5,515.80
|
| Rate for Payer: WPS Commercial |
$7,428.00
|
|
|
NAIL GAMMA 11.0 X 360 X 125DEG LONG RT TI 3525-1360S
|
Facility
|
OP
|
$9,643.00
|
|
|
Service Code
|
HCPCS L8699
|
| Hospital Charge Code |
4509050
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$2,808.04 |
| Max. Negotiated Rate |
$9,226.42 |
| Rate for Payer: Aetna Commercial |
$9,025.85
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$8,624.70
|
| Rate for Payer: Aetna Managed Medicare |
$2,808.04
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$6,518.67
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$5,014.36
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$4,813.79
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$5,315.22
|
| Rate for Payer: Cash Price |
$2,892.90
|
| Rate for Payer: Cigna Commercial |
$9,226.42
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$5,612.23
|
| Rate for Payer: Health EOS Commercial |
$8,925.56
|
| Rate for Payer: HFN Commercial |
$9,226.42
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$7,521.54
|
| Rate for Payer: Multiplan Commercial |
$8,022.98
|
| Rate for Payer: NAPHCARE Commercial |
$6,017.23
|
| Rate for Payer: Preferred Network Access Commercial |
$9,226.42
|
| Rate for Payer: Quartz Beloit One Network |
$4,914.07
|
| Rate for Payer: Quartz Commercial |
$6,518.67
|
| Rate for Payer: Quartz Medicare Advantage |
$6,017.23
|
| Rate for Payer: The Alliance Commercial |
$5,014.36
|
| Rate for Payer: WEA Trust Commercial |
$5,515.80
|
| Rate for Payer: WPS Commercial |
$7,428.00
|
|
|
NAIL GAMMA 11.0 X 380 X 125DEG LONG RT TI 3525-1380S
|
Facility
|
OP
|
$10,217.00
|
|
|
Service Code
|
HCPCS L8699
|
| Hospital Charge Code |
3072437
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$2,975.19 |
| Max. Negotiated Rate |
$9,775.63 |
| Rate for Payer: Aetna Commercial |
$9,563.11
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$9,138.08
|
| Rate for Payer: Aetna Managed Medicare |
$2,975.19
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$6,906.69
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$5,312.84
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$5,100.33
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$5,631.61
|
| Rate for Payer: Cash Price |
$3,065.10
|
| Rate for Payer: Cigna Commercial |
$9,775.63
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$5,946.29
|
| Rate for Payer: Health EOS Commercial |
$9,456.86
|
| Rate for Payer: HFN Commercial |
$9,775.63
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$7,969.26
|
| Rate for Payer: Multiplan Commercial |
$8,500.54
|
| Rate for Payer: NAPHCARE Commercial |
$6,375.41
|
| Rate for Payer: Preferred Network Access Commercial |
$9,775.63
|
| Rate for Payer: Quartz Beloit One Network |
$5,206.58
|
| Rate for Payer: Quartz Commercial |
$6,906.69
|
| Rate for Payer: Quartz Medicare Advantage |
$6,375.41
|
| Rate for Payer: The Alliance Commercial |
$5,312.84
|
| Rate for Payer: WEA Trust Commercial |
$5,844.12
|
| Rate for Payer: WPS Commercial |
$7,870.16
|
|
|
NAIL GAMMA 11.0 X 380 X 125DEG LONG RT TI 3525-1380S
|
Facility
|
IP
|
$10,217.00
|
|
|
Service Code
|
HCPCS L8699
|
| Hospital Charge Code |
3072437
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$5,206.58 |
| Max. Negotiated Rate |
$9,775.63 |
| Rate for Payer: Aetna Commercial |
$9,563.11
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$9,138.08
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$5,631.61
|
| Rate for Payer: Cash Price |
$3,065.10
|
| Rate for Payer: Cigna Commercial |
$9,775.63
|
| Rate for Payer: Health EOS Commercial |
$9,456.86
|
| Rate for Payer: HFN Commercial |
$9,775.63
|
| Rate for Payer: Multiplan Commercial |
$8,500.54
|
| Rate for Payer: Preferred Network Access Commercial |
$9,775.63
|
| Rate for Payer: Quartz Beloit One Network |
$5,206.58
|
| Rate for Payer: Quartz Commercial |
$6,375.41
|
| Rate for Payer: WEA Trust Commercial |
$5,844.12
|
| Rate for Payer: WPS Commercial |
$7,870.16
|
|
|
NAIL GAMMA 11.0 X 400 X 125DEG LONG LT TI 3525-1400S
|
Facility
|
OP
|
$10,218.00
|
|
|
Service Code
|
HCPCS L8699
|
| Hospital Charge Code |
4431891
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$2,975.48 |
| Max. Negotiated Rate |
$9,776.58 |
| Rate for Payer: Aetna Commercial |
$9,564.05
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$9,138.98
|
| Rate for Payer: Aetna Managed Medicare |
$2,975.48
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$6,907.37
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$5,313.36
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$5,100.83
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$5,632.16
|
| Rate for Payer: Cash Price |
$3,065.40
|
| Rate for Payer: Cigna Commercial |
$9,776.58
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$5,946.88
|
| Rate for Payer: Health EOS Commercial |
$9,457.78
|
| Rate for Payer: HFN Commercial |
$9,776.58
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$7,970.04
|
| Rate for Payer: Multiplan Commercial |
$8,501.38
|
| Rate for Payer: NAPHCARE Commercial |
$6,376.03
|
| Rate for Payer: Preferred Network Access Commercial |
$9,776.58
|
| Rate for Payer: Quartz Beloit One Network |
$5,207.09
|
| Rate for Payer: Quartz Commercial |
$6,907.37
|
| Rate for Payer: Quartz Medicare Advantage |
$6,376.03
|
| Rate for Payer: The Alliance Commercial |
$5,313.36
|
| Rate for Payer: WEA Trust Commercial |
$5,844.70
|
| Rate for Payer: WPS Commercial |
$7,870.93
|
|
|
NAIL GAMMA 11.0 X 400 X 125DEG LONG LT TI 3525-1400S
|
Facility
|
IP
|
$10,218.00
|
|
|
Service Code
|
HCPCS L8699
|
| Hospital Charge Code |
4431891
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$5,207.09 |
| Max. Negotiated Rate |
$9,776.58 |
| Rate for Payer: Aetna Commercial |
$9,564.05
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$9,138.98
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$5,632.16
|
| Rate for Payer: Cash Price |
$3,065.40
|
| Rate for Payer: Cigna Commercial |
$9,776.58
|
| Rate for Payer: Health EOS Commercial |
$9,457.78
|
| Rate for Payer: HFN Commercial |
$9,776.58
|
| Rate for Payer: Multiplan Commercial |
$8,501.38
|
| Rate for Payer: Preferred Network Access Commercial |
$9,776.58
|
| Rate for Payer: Quartz Beloit One Network |
$5,207.09
|
| Rate for Payer: Quartz Commercial |
$6,376.03
|
| Rate for Payer: WEA Trust Commercial |
$5,844.70
|
| Rate for Payer: WPS Commercial |
$7,870.93
|
|
|
NAIL GAMMA 11.0 X 420 X 125DEG LONG LT TI 3525-1420S
|
Facility
|
IP
|
$9,643.00
|
|
|
Service Code
|
HCPCS L8699
|
| Hospital Charge Code |
4509051
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$4,914.07 |
| Max. Negotiated Rate |
$9,226.42 |
| Rate for Payer: Aetna Commercial |
$9,025.85
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$8,624.70
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$5,315.22
|
| Rate for Payer: Cash Price |
$2,892.90
|
| Rate for Payer: Cigna Commercial |
$9,226.42
|
| Rate for Payer: Health EOS Commercial |
$8,925.56
|
| Rate for Payer: HFN Commercial |
$9,226.42
|
| Rate for Payer: Multiplan Commercial |
$8,022.98
|
| Rate for Payer: Preferred Network Access Commercial |
$9,226.42
|
| Rate for Payer: Quartz Beloit One Network |
$4,914.07
|
| Rate for Payer: Quartz Commercial |
$6,017.23
|
| Rate for Payer: WEA Trust Commercial |
$5,515.80
|
| Rate for Payer: WPS Commercial |
$7,428.00
|
|
|
NAIL GAMMA 11.0 X 420 X 125DEG LONG LT TI 3525-1420S
|
Facility
|
OP
|
$9,643.00
|
|
|
Service Code
|
HCPCS L8699
|
| Hospital Charge Code |
4509051
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$2,808.04 |
| Max. Negotiated Rate |
$9,226.42 |
| Rate for Payer: Aetna Commercial |
$9,025.85
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$8,624.70
|
| Rate for Payer: Aetna Managed Medicare |
$2,808.04
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$6,518.67
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$5,014.36
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$4,813.79
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$5,315.22
|
| Rate for Payer: Cash Price |
$2,892.90
|
| Rate for Payer: Cigna Commercial |
$9,226.42
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$5,612.23
|
| Rate for Payer: Health EOS Commercial |
$8,925.56
|
| Rate for Payer: HFN Commercial |
$9,226.42
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$7,521.54
|
| Rate for Payer: Multiplan Commercial |
$8,022.98
|
| Rate for Payer: NAPHCARE Commercial |
$6,017.23
|
| Rate for Payer: Preferred Network Access Commercial |
$9,226.42
|
| Rate for Payer: Quartz Beloit One Network |
$4,914.07
|
| Rate for Payer: Quartz Commercial |
$6,518.67
|
| Rate for Payer: Quartz Medicare Advantage |
$6,017.23
|
| Rate for Payer: The Alliance Commercial |
$5,014.36
|
| Rate for Payer: WEA Trust Commercial |
$5,515.80
|
| Rate for Payer: WPS Commercial |
$7,428.00
|
|
|
NAIL GAMMA 11 X 440 X 125 RT LONG 3425-1440S
|
Facility
|
OP
|
$9,643.00
|
|
|
Service Code
|
HCPCS L8699
|
| Hospital Charge Code |
5459254
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$2,808.04 |
| Max. Negotiated Rate |
$9,226.42 |
| Rate for Payer: Aetna Commercial |
$9,025.85
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$8,624.70
|
| Rate for Payer: Aetna Managed Medicare |
$2,808.04
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$6,518.67
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$5,014.36
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$4,813.79
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$5,315.22
|
| Rate for Payer: Cash Price |
$2,892.90
|
| Rate for Payer: Cigna Commercial |
$9,226.42
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$5,612.23
|
| Rate for Payer: Health EOS Commercial |
$8,925.56
|
| Rate for Payer: HFN Commercial |
$9,226.42
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$7,521.54
|
| Rate for Payer: Multiplan Commercial |
$8,022.98
|
| Rate for Payer: NAPHCARE Commercial |
$6,017.23
|
| Rate for Payer: Preferred Network Access Commercial |
$9,226.42
|
| Rate for Payer: Quartz Beloit One Network |
$4,914.07
|
| Rate for Payer: Quartz Commercial |
$6,518.67
|
| Rate for Payer: Quartz Medicare Advantage |
$6,017.23
|
| Rate for Payer: The Alliance Commercial |
$5,014.36
|
| Rate for Payer: WEA Trust Commercial |
$5,515.80
|
| Rate for Payer: WPS Commercial |
$7,428.00
|
|
|
NAIL GAMMA 11 X 440 X 125 RT LONG 3425-1440S
|
Facility
|
IP
|
$9,643.00
|
|
|
Service Code
|
HCPCS L8699
|
| Hospital Charge Code |
5459254
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$4,914.07 |
| Max. Negotiated Rate |
$9,226.42 |
| Rate for Payer: Aetna Commercial |
$9,025.85
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$8,624.70
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$5,315.22
|
| Rate for Payer: Cash Price |
$2,892.90
|
| Rate for Payer: Cigna Commercial |
$9,226.42
|
| Rate for Payer: Health EOS Commercial |
$8,925.56
|
| Rate for Payer: HFN Commercial |
$9,226.42
|
| Rate for Payer: Multiplan Commercial |
$8,022.98
|
| Rate for Payer: Preferred Network Access Commercial |
$9,226.42
|
| Rate for Payer: Quartz Beloit One Network |
$4,914.07
|
| Rate for Payer: Quartz Commercial |
$6,017.23
|
| Rate for Payer: WEA Trust Commercial |
$5,515.80
|
| Rate for Payer: WPS Commercial |
$7,428.00
|
|
|
NAIL GAMMA 12.0 X 170MM X 125DEG TROCHANTERIC 8125-2170S
|
Facility
|
OP
|
$6,979.00
|
|
|
Service Code
|
HCPCS L8699
|
| Hospital Charge Code |
6207009
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$2,032.28 |
| Max. Negotiated Rate |
$6,677.51 |
| Rate for Payer: Aetna Commercial |
$6,532.34
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$6,242.02
|
| Rate for Payer: Aetna Managed Medicare |
$2,032.28
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$4,717.80
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$3,629.08
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$3,483.92
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$3,846.82
|
| Rate for Payer: Cash Price |
$2,093.70
|
| Rate for Payer: Cigna Commercial |
$6,677.51
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$4,061.78
|
| Rate for Payer: Health EOS Commercial |
$6,459.76
|
| Rate for Payer: HFN Commercial |
$6,677.51
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$5,443.62
|
| Rate for Payer: Multiplan Commercial |
$5,806.53
|
| Rate for Payer: NAPHCARE Commercial |
$4,354.90
|
| Rate for Payer: Preferred Network Access Commercial |
$6,677.51
|
| Rate for Payer: Quartz Beloit One Network |
$3,556.50
|
| Rate for Payer: Quartz Commercial |
$4,717.80
|
| Rate for Payer: Quartz Medicare Advantage |
$4,354.90
|
| Rate for Payer: The Alliance Commercial |
$3,629.08
|
| Rate for Payer: WEA Trust Commercial |
$3,991.99
|
| Rate for Payer: WPS Commercial |
$5,375.92
|
|
|
NAIL GAMMA 12.0 X 170MM X 125DEG TROCHANTERIC 8125-2170S
|
Facility
|
IP
|
$6,979.00
|
|
|
Service Code
|
HCPCS L8699
|
| Hospital Charge Code |
6207009
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$3,556.50 |
| Max. Negotiated Rate |
$6,677.51 |
| Rate for Payer: Aetna Commercial |
$6,532.34
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$6,242.02
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$3,846.82
|
| Rate for Payer: Cash Price |
$2,093.70
|
| Rate for Payer: Cigna Commercial |
$6,677.51
|
| Rate for Payer: Health EOS Commercial |
$6,459.76
|
| Rate for Payer: HFN Commercial |
$6,677.51
|
| Rate for Payer: Multiplan Commercial |
$5,806.53
|
| Rate for Payer: Preferred Network Access Commercial |
$6,677.51
|
| Rate for Payer: Quartz Beloit One Network |
$3,556.50
|
| Rate for Payer: Quartz Commercial |
$4,354.90
|
| Rate for Payer: WEA Trust Commercial |
$3,991.99
|
| Rate for Payer: WPS Commercial |
$5,375.92
|
|
|
NAIL GAMMA 13.0 X 280 X 125DEG LONG LT TI 3525-3280S
|
Facility
|
IP
|
$9,643.00
|
|
|
Service Code
|
HCPCS L8699
|
| Hospital Charge Code |
5106962
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$4,914.07 |
| Max. Negotiated Rate |
$9,226.42 |
| Rate for Payer: Aetna Commercial |
$9,025.85
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$8,624.70
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$5,315.22
|
| Rate for Payer: Cash Price |
$2,892.90
|
| Rate for Payer: Cigna Commercial |
$9,226.42
|
| Rate for Payer: Health EOS Commercial |
$8,925.56
|
| Rate for Payer: HFN Commercial |
$9,226.42
|
| Rate for Payer: Multiplan Commercial |
$8,022.98
|
| Rate for Payer: Preferred Network Access Commercial |
$9,226.42
|
| Rate for Payer: Quartz Beloit One Network |
$4,914.07
|
| Rate for Payer: Quartz Commercial |
$6,017.23
|
| Rate for Payer: WEA Trust Commercial |
$5,515.80
|
| Rate for Payer: WPS Commercial |
$7,428.00
|
|
|
NAIL GAMMA 13.0 X 280 X 125DEG LONG LT TI 3525-3280S
|
Facility
|
OP
|
$9,643.00
|
|
|
Service Code
|
HCPCS L8699
|
| Hospital Charge Code |
5106962
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$2,808.04 |
| Max. Negotiated Rate |
$9,226.42 |
| Rate for Payer: Aetna Commercial |
$9,025.85
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$8,624.70
|
| Rate for Payer: Aetna Managed Medicare |
$2,808.04
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$6,518.67
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$5,014.36
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$4,813.79
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$5,315.22
|
| Rate for Payer: Cash Price |
$2,892.90
|
| Rate for Payer: Cigna Commercial |
$9,226.42
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$5,612.23
|
| Rate for Payer: Health EOS Commercial |
$8,925.56
|
| Rate for Payer: HFN Commercial |
$9,226.42
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$7,521.54
|
| Rate for Payer: Multiplan Commercial |
$8,022.98
|
| Rate for Payer: NAPHCARE Commercial |
$6,017.23
|
| Rate for Payer: Preferred Network Access Commercial |
$9,226.42
|
| Rate for Payer: Quartz Beloit One Network |
$4,914.07
|
| Rate for Payer: Quartz Commercial |
$6,518.67
|
| Rate for Payer: Quartz Medicare Advantage |
$6,017.23
|
| Rate for Payer: The Alliance Commercial |
$5,014.36
|
| Rate for Payer: WEA Trust Commercial |
$5,515.80
|
| Rate for Payer: WPS Commercial |
$7,428.00
|
|
|
NAIL GAMMA 13.0 X 340 X 125DEG LONG RT TI 3525-3340S
|
Facility
|
OP
|
$9,643.00
|
|
|
Service Code
|
HCPCS L8699
|
| Hospital Charge Code |
5306830
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$2,808.04 |
| Max. Negotiated Rate |
$9,226.42 |
| Rate for Payer: Aetna Commercial |
$9,025.85
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$8,624.70
|
| Rate for Payer: Aetna Managed Medicare |
$2,808.04
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$6,518.67
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$5,014.36
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$4,813.79
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$5,315.22
|
| Rate for Payer: Cash Price |
$2,892.90
|
| Rate for Payer: Cigna Commercial |
$9,226.42
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$5,612.23
|
| Rate for Payer: Health EOS Commercial |
$8,925.56
|
| Rate for Payer: HFN Commercial |
$9,226.42
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$7,521.54
|
| Rate for Payer: Multiplan Commercial |
$8,022.98
|
| Rate for Payer: NAPHCARE Commercial |
$6,017.23
|
| Rate for Payer: Preferred Network Access Commercial |
$9,226.42
|
| Rate for Payer: Quartz Beloit One Network |
$4,914.07
|
| Rate for Payer: Quartz Commercial |
$6,518.67
|
| Rate for Payer: Quartz Medicare Advantage |
$6,017.23
|
| Rate for Payer: The Alliance Commercial |
$5,014.36
|
| Rate for Payer: WEA Trust Commercial |
$5,515.80
|
| Rate for Payer: WPS Commercial |
$7,428.00
|
|
|
NAIL GAMMA 13.0 X 340 X 125DEG LONG RT TI 3525-3340S
|
Facility
|
IP
|
$9,643.00
|
|
|
Service Code
|
HCPCS L8699
|
| Hospital Charge Code |
5306830
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$4,914.07 |
| Max. Negotiated Rate |
$9,226.42 |
| Rate for Payer: Aetna Commercial |
$9,025.85
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$8,624.70
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$5,315.22
|
| Rate for Payer: Cash Price |
$2,892.90
|
| Rate for Payer: Cigna Commercial |
$9,226.42
|
| Rate for Payer: Health EOS Commercial |
$8,925.56
|
| Rate for Payer: HFN Commercial |
$9,226.42
|
| Rate for Payer: Multiplan Commercial |
$8,022.98
|
| Rate for Payer: Preferred Network Access Commercial |
$9,226.42
|
| Rate for Payer: Quartz Beloit One Network |
$4,914.07
|
| Rate for Payer: Quartz Commercial |
$6,017.23
|
| Rate for Payer: WEA Trust Commercial |
$5,515.80
|
| Rate for Payer: WPS Commercial |
$7,428.00
|
|
|
NAIL GAMMA 13.0 X 360 X 125DEG LONG RT TI 3525-3360S
|
Facility
|
IP
|
$9,643.00
|
|
|
Service Code
|
HCPCS L8699
|
| Hospital Charge Code |
5074815
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$4,914.07 |
| Max. Negotiated Rate |
$9,226.42 |
| Rate for Payer: Aetna Commercial |
$9,025.85
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$8,624.70
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$5,315.22
|
| Rate for Payer: Cash Price |
$2,892.90
|
| Rate for Payer: Cigna Commercial |
$9,226.42
|
| Rate for Payer: Health EOS Commercial |
$8,925.56
|
| Rate for Payer: HFN Commercial |
$9,226.42
|
| Rate for Payer: Multiplan Commercial |
$8,022.98
|
| Rate for Payer: Preferred Network Access Commercial |
$9,226.42
|
| Rate for Payer: Quartz Beloit One Network |
$4,914.07
|
| Rate for Payer: Quartz Commercial |
$6,017.23
|
| Rate for Payer: WEA Trust Commercial |
$5,515.80
|
| Rate for Payer: WPS Commercial |
$7,428.00
|
|
